Clinic
Optimal Behavioral Health, LLC
Optimal Behavioral Health, LLC was paid $2.61M by Medicaid between Apr 2019 and Dec 2024, across 7 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 64% of everything it billed.
33Billing provider infoOPTIMAL BEHAVIORAL HEALTH, LLC
VILLAS, NJ 08251
VILLAS, NJ 08251
33aNPI1366902181assigned 03/20/2019
28Total paid$2.61M
24GClaims26,266
24DCodes billed7
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in New Jersey
Rank by total paid#46 of 134
Median peer was paid$1.01M
This provider vs. median2.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,646 | $152K | |
| 2020 | 3,171 | $280K | |
| 2021 | 5,108 | $487K | |
| 2022 | 5,964 | $589K | |
| 2023 | 6,108 | $611K | |
| 2024incomplete | 4,269 | $487K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 64% | 17,840 | 7,920 | $1.68M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 28% | 6,761 | 5,990 | $719K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.2% | 687 | 685 | $111K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.8% | 192 | 192 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 295 | 232 | $23K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 45 | 12 | $1K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 446 | 196 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCARNEY, JOHN (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Optimal Behavioral Health, LLC | Villas, NJ | $1.49M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.